Helias Foundation: Scholarship Application

Application Instructions for
The Foundation for the Benefit of Helias Catholic High School, Inc.
Scholarship Program

Application Deadline: December 1

IMPORTANT: Please download and print the attached checklist below before starting the application process. Please include printed checklist when submitting your completed application.

IMPORTANT: Please download and print this .pdf version if you would prefer to fill out a physical copy of the scholarship application. All submission rules apply whether you use this printed form or the online form. **PLEASE NOTE: If using the printed application form, the required letter of reference cannot be uploaded to the online form below. Please ensure letter of reference is either physically mailed or delivered to the Foundation office, or sent digitally via: A) direct email and/or attachment to the Foundation from the letter's author; or B) forwarded email and/or attachment to the Foundation originating from the letter's author (if sent by applicant).

Applicant Information:

Full Name

First NameMiddle InitialLast Name

Maiden Name/Other Names Used

Student ID# (for Helias graduates currently enrolled in post-secondary education program)

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Email

example@example.com

Member of the Helias Catholic High School Graduation Class of:

How did you learn about this scholarship?

What type of program(s) do you plan on using to help pay for your education? (Check all that apply)

Do you have a financial hardship or are you facing any special or extenuating financial circumstances that would affect your ability to pay for or continue your education?

If "Yes," please explain below.

FOR HIGH SCHOOL APPLICANTS, PLEASE SUBMIT ORIGINAL HIGH SCHOOL TRANSCRIPT.

FOR ALUMNI APPLICANTS, PLEASE SUBMIT ALL ACADEMIC TRANSCRIPTS.

Formats accepted: pdf, doc, docx, txt

Please indicate highest grade completed: High School:

Please indicate highest grade completed: College:

ACT Composite Score (current Helias seniors ONLY)

* If you are a Helias graduate, please type "NA" in the field above.

Name of all college, university, technical or vocational schools previously attended or currently attending:

Enrollment Verification:

1. Name of College/University/Technical or Vocational School

2. Please Select One Option

* For current Helias Seniors who have not yet decided which school/program they wish to attend upon graduating, please list below your (maximum) Top 3 choices that you are considering, including address and point of contact. If you are chosen as a recipient of a Foundation Scholarship award, you will be responsible for providing the Foundation with a copy of your letter of acceptance to the program you chose to attend before the award can be disbursed.

2. Address

3. Contact Person

4. Telephone

Format: (000) 000-0000.

5. Status:

6. Estimated Cost Per Semester

ALUMNI APPLICANTS MUST SHOW PROOF OF ENROLLMENT

HIGH SCHOOL APPLICANTS MUST PROVIDE PROOF OF ENROLLMENT IF CHOSEN AS FOUNDATION SCHOLARSHIP RECIPIENT

Employment:

Name of Employer 1

Address

Supervisor

Telephone

Format: (000) 000-0000.

Job Duties

Employment Dates

Starting Date - Ending Date

Name of Employer 2

Address

Supervisor

Telephone

Format: (000) 000-0000.

Job Duties

Employment Dates

Starting Date - Ending Date

Personal Statement:

Submit a personal statement describing your time at and the benefit of attending Helias Catholic High School. Briefly describe why you have chosen your degree field, your goals upon completion of your degree and your future plans on giving back to Helias of your time, talent and treasure post-graduation. This statement is not to exceed one single-spaced typewritten page. Please also include at the end a listing of extracurricular, community, volunteer or church activities you have been involved with. (It is important for the selection committee to have this information from all applicants.)

Letter of Reference:

The Foundation will accept reference letters both physically (via mail or in-person), or digitally via: A) direct email and/or attachment to the Foundation from the letter's author; B) forwarded email and/or attachment to the Foundation originating from the letter's author (sent by applicant); or C) upload of original digital document directly to this application (.pdf format ONLY).

Application Date

Date

Signature

APPLICATIONS MUST BE RECEIVED BY 4:30 PM CDT, DECEMBER 1.

INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED.

Questions regarding the application and selection process should be directed to the Foundation office at (573) 635-3808, or email at: mbruns@heliasfoundation.org

Please verify that you are human

NOTE: This scholarship program is a competitive process, and only eligible applications will be evaluated. All eligible applications may NOT receive funding. The scholarship application must be completed in its entirety to be eligible for consideration.

All information is confidential and for programmatic purposes only.